Organization
IN HIS IMAGE PT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA V SPANGBERG PT (OWNER)
(208) 960-0173
Entity
Organization
Contact information
Practice address
10540 N BRIDLE WAY, BOISE, ID 83714-9598
(208) 960-0173
Mailing address
10540 N BRIDLE WAY, BOISE, ID 83714-9598
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
Other
Enumeration date
04/28/2025
Last updated
08/03/2025
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